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Association of the renin-angiotensin system components in human follicular fluid with age, ovarian function and IVF outcome
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  • Lun Wei,
  • Chao Luo,
  • Anwen Zhou,
  • Le Bo,
  • Zhinan Wu,
  • Xuanping Lu,
  • Lei Zhan,
  • Shasha Gao,
  • Fei Qian,
  • Caiping Mao
Lun Wei
First Affiliated Hospital of Soochow University
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Chao Luo
First Affiliated Hospital of Soochow University
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Anwen Zhou
First Affiliated Hospital of Soochow University
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Le Bo
First Affiliated Hospital of Soochow University
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Zhinan Wu
First Affiliated Hospital of Soochow University
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Xuanping Lu
First Affiliated Hospital of Soochow University
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Lei Zhan
First Affiliated Hospital of Soochow University
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Shasha Gao
First Affiliated Hospital of Soochow University
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Fei Qian
First Affiliated Hospital of Soochow University
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Caiping Mao
First Affiliated Hospital of Soochow University

Corresponding Author:[email protected]

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Abstract

Objective: To investigate the association between the local renin-angiotensin system (RAS) in human follicular fluid (hFF) and age, ovarian function, in vitro fertilization (IVF) outcome. Design: Study on the correlation of non-intervention. Setting: Reproductive Medicine Center, First Affiliated Hospital of Soochow University. Sample: hFF of 139 women who received IVF simply because of their husband’s factors from January 2021 to February 2022. Methods: The correlation between age and RAS in hFF was analyzed by simple linear regression, and multivariate linear regression was used to further analyze the correlation between the RAS and IVF outcome. Main Outcome Measures: The levels of RAS components in hFF were measured, including Renin, ACE, ACE2, AngⅡ and Ang(1-7). Results: ①The influence of age on ACE-AngⅡ-AT1/2R axis was more significant than that on ACE2-Ang(1-7)-MAS axis in hFF; ②Provides evidence that gonadotropins mediate RAS activation of local ovarian follicles; ③It is still impossible to prove the effect of RAS on steroid hormone production, at least in ovarian follicles RAS cannot affect steroid hormones in the systemic circulation; ④Age and the level of RAS components in hFF have certain clinical value in predicting the number of oocyte retrieval and the rate of MⅡ maturation. Conclusions: The local RAS in ovarian follicles is affected by age and correlated with ovarian function and IVF outcome.